Provider Demographics
NPI:1245931658
Name:GODSEY, RILEY ERIN (RN)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:ERIN
Last Name:GODSEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 FM 902
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-8837
Mailing Address - Country:US
Mailing Address - Phone:940-668-6836
Mailing Address - Fax:
Practice Address - Street 1:6700 FM 902
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-8837
Practice Address - Country:US
Practice Address - Phone:940-668-6836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1113116363LF0000X
TX945306163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse